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Individual

DR. DONALD O WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
740 S MAIN ST, CHEBOYGAN, MI 49721-2220
(231) 627-1282
(231) 627-1850
Mailing address
PO BOX 419, CHEBOYGAN, MI 49721-0419
(231) 627-1438
(231) 627-1471

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101013301
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010A660000
GROUP BLUE CROSS - HOSP
MI
01
110A610070
GROUP BLUE CROSS - IM
MI
01
1151600184
INDIVIDUAL BLUE CROSS
MI
05
4443438
MI
05
4745644
MI
Enumeration date
07/15/2006
Last updated
06/30/2011
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